US9750484B2 - Method and device to examine a tissue sample - Google Patents
Method and device to examine a tissue sample Download PDFInfo
- Publication number
- US9750484B2 US9750484B2 US14/480,872 US201414480872A US9750484B2 US 9750484 B2 US9750484 B2 US 9750484B2 US 201414480872 A US201414480872 A US 201414480872A US 9750484 B2 US9750484 B2 US 9750484B2
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- tissue sample
- examination subject
- extraction
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- region
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B10/00—Instruments for taking body samples for diagnostic purposes; Other methods or instruments for diagnosis, e.g. for vaccination diagnosis, sex determination or ovulation-period determination; Throat striking implements
- A61B10/02—Instruments for taking cell samples or for biopsy
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/06—Devices, other than using radiation, for detecting or locating foreign bodies ; Determining position of diagnostic devices within or on the body of the patient
- A61B5/061—Determining position of a probe within the body employing means separate from the probe, e.g. sensing internal probe position employing impedance electrodes on the surface of the body
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
- A61B6/02—Arrangements for diagnosis sequentially in different planes; Stereoscopic radiation diagnosis
- A61B6/025—Tomosynthesis
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
- A61B6/50—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment specially adapted for specific body parts; specially adapted for specific clinical applications
- A61B6/502—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment specially adapted for specific body parts; specially adapted for specific clinical applications for diagnosis of breast, i.e. mammography
Definitions
- the invention concerns a method to examine a tissue sample and a device to examine a tissue sample.
- Examination of a tissue sample can be implemented after an extraction of the tissue sample from a living organism (biopsy).
- the tissue sample is extracted from the breast and is histologically examined.
- the extraction most often takes place with the aid of an imaging method.
- Stereotactic biopsy is an established examination method.
- the breast to be examined is compressed in a mammography apparatus between a support plate and a compression plate that can be displaced with respect to the support plate.
- a first x-ray image acquisition (scout image, 0° acquisition, overview acquisition) subsequently takes place with an x-ray source.
- a check is made as to whether the region to be examined is correctly positioned.
- an x-ray detector is typically integrated into the support plate.
- the subsequent acquisitions typically take place in pairs from two different directions (what are known as stereo acquisitions).
- the x-ray source is moved in an angle range of +/ ⁇ 25° on a circular arc around the vertical axis.
- the target for example tumor or microcalcification
- the biopsy needle is subsequently introduced into the breast and the position of the biopsy needle is monitored by additional stereo acquisitions.
- the biopsy needle tip is located just before reaching the lesion and the needle is introduced into the relevant tissue with a firing mechanism that is a component of the biopsy unit.
- the tissue sample is removed by a lateral opening in the biopsy needle and—in the case of a vacuum biopsy—is transported into a sample container outside of the breast.
- the sample is examined with the aid of an x-ray device in order to check the result of the biopsy. This can take place either at an extra x-ray system or at the biopsy system.
- the breast must be uncompressed. An additional extraction of a sample under identical conditions with regard to the compression of the breast is thus not possible.
- tomosynthesis examinations are often implemented with a mammography apparatus.
- a sequence of tomosynthesis projections is created, for example 25 projections, wherein the x-ray source (x-ray radiator) rotates over the detector in an angle range between ⁇ 25° and +25°.
- the x-ray radiation is thus triggered at regular intervals of 2°, and a respective projection is read out from the x-ray detector.
- the three-dimensional subject is subsequently reconstructed from the projections in a tomosynthesis reconstruction process.
- the evaluation of the reconstruction result takes place in z-slices, i.e. in slices that are parallel to the x-ray detector.
- An object of the present invention is to provide a method with which a quick examination of an extracted tissue sample can be implemented. Furthermore, it is an object of the present invention to provide a device with which a quick examination of an extracted tissue sample can be implemented.
- a method for the examination of a tissue sample includes the following features.
- a tissue sample is extracted at an extraction location in a biopsy.
- the tissue sample is transported into a position outside of the extraction location.
- the tissue sample is placed in a region outside of the extraction location, this region being with a region irradiated by x-ray radiation from an x-ray source.
- An x-ray-based 3D monitoring acquisition is implemented using the x-ray source.
- a data set of slice images is reconstructed from common projections of the extraction location and the tissue sample.
- the reconstructed slice images are displayed.
- a device according to the invention includes the following features.
- An x-ray device has an x-ray source and an x-ray detector.
- a support plate for an examination subject and a compression plate for compression of the examination subject are provided.
- a biopsy unit that has a biopsy needle to extract a tissue sample at an extraction location, and a deposition device transports the tissue sample extracted from the examination subject.
- the deposition device is situated outside of the extraction location and in a region exposed by the x-ray source.
- An evaluation unit reconstructs a data set of slice images from common projections of the extraction location and the tissue sample, as well as to present the reconstructed slice images.
- the extracted tissue sample is initially transported into a position outside of the extraction location in order to be subsequently placed in a region outside of the extraction location. This region is irradiated by the x-ray radiation.
- the examination subject does not need to be uncompressed.
- a quick examination of the extracted tissue sample therefore can be implemented with the method according to the invention.
- the deposition device for the tissue sample extracted from the examination subject is situated outside of the extraction location, but in a region exposed by the x-ray source.
- the examination subject thus does not need to be uncompressed, such that a quick examination of the extracted tissue sample can be implemented with the device according to the invention.
- a new compression of the examination subject does not need to be made because the tissue sample is placed in a region outside of the extraction location, and this region is irradiated by the x-ray radiation. This ensures that additional extractions of tissue samples can be made under identical conditions. In addition to a shorter examination time, a greater certainty is ensured given a new extraction of tissue samples. Since the position of the examination subject does not need to be modified during the examination, additional x-ray devices are not required.
- the method and device according to the invention thus make it possible to implement a quick examination of a tissue sample.
- the tissue sample is transported into a position above the extraction location.
- the deposition device is arranged above the extraction location.
- a manual positioning of the tissue sample is not needed.
- the deposition device for the tissue sample is fashioned as a sample container.
- the implementation of the x-ray-based 3D monitoring exposure is advantageously implemented in a partial angle range.
- the x-ray-based 3D monitoring acquisition is a tomosynthesis acquisition.
- the slice images of the tomosynthesis acquisition are presented as a maximum intensity projection.
- the reconstruction of a data set for the extraction location and the reconstruction of a data set for the tissue sample are respectively implemented.
- a synthetic mammogram is generated from the slice images of the tissue sample.
- the compression plate has a feedthrough for the biopsy needle.
- a vertical extraction of a tissue sample is also possible.
- the x-ray detector is integrated into the support plate.
- FIGURE schematically illustrates an embodiment of a device according to the invention, in a sectional view.
- the embodiment of the device for examination of a tissue sample is designed as a mammography apparatus.
- the mammography apparatus has an x-ray source 1 that emits x-ray radiation 2 that irradiates (exposes) an examination subject 3 .
- the examination subject 3 is a female breast that is fixed between a compression plate 4 and a support plate 5 .
- the x-ray radiation 2 passing through the examination subject 3 , the compression plate 4 and the support plate 5 is detected by a large-area x-ray detector 6 .
- the x-ray detector 6 is, for example, a large-area digital x-ray detector that is composed of a number of individual detectors arranged in a matrix-like array.
- the device shown in the drawing furthermore has a biopsy unit.
- the biopsy unit has a biopsy needle 7 to extract a tissue sample 8 from an extraction location 9 in the examination subject 3 , as well as a deposition device 10 .
- the deposition device 10 is executed as a sample container and arranged above the extraction location 9 and above the compression plate 4 .
- the tissue sample 8 is thus placed outside of the extraction location 9 after being deposited in the sample container 10 .
- the sample container 10 is arranged outside of the extraction location 9 , the sample container 10 (deposition device) is, in a region acquired by the x-ray radiation 2 .
- the compression plate 4 has a feedthrough 11 for the biopsy needle 7 .
- a vertical extraction of a tissue sample 8 is therefore also possible. In the shown exemplary embodiment, a vertical extraction of the tissue sample 8 is depicted.
- a 3D data acquisition (monitoring acquisition) is subsequently implemented to monitor the tissue within the examination subject 3 (in particular in the extraction location 9 ) as well as in the adjacent regions, which may thus include all or some of the still-compressed breast (subject 3 ).
- 2D projections are obtained by moving the x-ray source 1 on a trajectory T in an angle range from ⁇ 25° to +25°, with 2D irradiations (projections) occurring respectively at successive incremental angle positions in this range.
- the mammography apparatus shown in the single FIGURE has an evaluation unit 12 .
- the evaluation unit 12 serves to reconstruct a data set of slice images from common projections of the extraction location 9 and of the tissue sample 8 , as well as to present the reconstructed slice images at a display screen.
- a new compression of the examination subject 3 does not need to be made because the tissue sample 8 is placed in a region outside of the extraction location 9 , and this region is irradiated by the x-ray radiation 2 . It is therefore ensured that additional extractions of tissue samples 8 are made under identical conditions. In addition to a shorter examination time, a greater certainty is also ensured in the new extraction of tissue samples 8 . Since the position of the examination subject 3 does not need to change during an examination, additional x-ray sources and/or additional x-ray detectors are not required.
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Engineering & Computer Science (AREA)
- Medical Informatics (AREA)
- Animal Behavior & Ethology (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- Pathology (AREA)
- General Health & Medical Sciences (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Molecular Biology (AREA)
- Surgery (AREA)
- Biophysics (AREA)
- Physics & Mathematics (AREA)
- High Energy & Nuclear Physics (AREA)
- Radiology & Medical Imaging (AREA)
- Optics & Photonics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Dentistry (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Human Computer Interaction (AREA)
- Apparatus For Radiation Diagnosis (AREA)
Abstract
Description
Claims (16)
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| DE102013217961 | 2013-09-09 | ||
| DE201310217961 DE102013217961A1 (en) | 2013-09-09 | 2013-09-09 | Method and device for examining a tissue sample |
| DE102013217961.8 | 2013-09-09 |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| US20150073298A1 US20150073298A1 (en) | 2015-03-12 |
| US9750484B2 true US9750484B2 (en) | 2017-09-05 |
Family
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Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| US14/480,872 Active 2035-07-24 US9750484B2 (en) | 2013-09-09 | 2014-09-09 | Method and device to examine a tissue sample |
Country Status (3)
| Country | Link |
|---|---|
| US (1) | US9750484B2 (en) |
| CN (1) | CN104414673B (en) |
| DE (1) | DE102013217961A1 (en) |
Cited By (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20220265229A1 (en) * | 2021-02-24 | 2022-08-25 | GE Precision Healthcare LLC | System and method for specimen imaging using an existing mamography imaging system |
| US12364443B2 (en) | 2016-11-04 | 2025-07-22 | Hologic, Inc. | Specimen radiography system comprising a cabinet and a specimen drawer positionable by a controller in the cabinet |
| US12396693B2 (en) | 2020-09-16 | 2025-08-26 | Hologic, Inc. | Systems and methods for confirming tissue specimens removed using contrast-enhanced x-ray imaging |
| US12514523B2 (en) | 2017-09-11 | 2026-01-06 | Faxitron Bioptics, Llc | Imaging system with adaptive object magnification |
Families Citing this family (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JP5986994B2 (en) | 2010-06-28 | 2016-09-06 | コーニンクレッカ フィリップス エヌ ヴェKoninklijke Philips N.V. | Medical tomosynthesis system |
| US10542951B2 (en) * | 2015-07-23 | 2020-01-28 | General Electric Company | Systems, methods, and devices for simplified high quality imaging of biopsy samples on a mammography machine |
| EP3820371A4 (en) * | 2018-08-27 | 2021-08-11 | Shanghai United Imaging Healthcare Co., Ltd. | SYSTEM AND METHOD FOR DETERMINING A TARGET POINT FOR ASPIRATION BIOPSY |
Citations (15)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4821727A (en) | 1986-10-30 | 1989-04-18 | Elscint Ltd. | Mammographic biopsy needle holder system |
| US5078142A (en) | 1989-11-21 | 1992-01-07 | Fischer Imaging Corporation | Precision mammographic needle biopsy system |
| US20040114714A1 (en) * | 2002-11-29 | 2004-06-17 | Minyard Thomas J. | Distributed architecture for mammographic image acquisition and processing |
| US20090003519A1 (en) * | 2004-11-26 | 2009-01-01 | Kenneth Defreitas | Integrated Multi-Mode Mammography/Tomosynthesis X-Ray System And Method |
| US20090171244A1 (en) * | 2007-12-21 | 2009-07-02 | Koning Corporation | Methods and apparatus of cone beam ct imaging and image-guided procedures |
| US20100016713A1 (en) | 2008-07-16 | 2010-01-21 | Dilon Technologies, Inc. | Fiducial marker and method for gamma guided stereotactic localization |
| US20100054402A1 (en) * | 2007-12-20 | 2010-03-04 | Daniel Fischer | Method for positioning the breast for a biopsy in a mammography device, and mammography device to implement the method |
| US20100249648A1 (en) | 2009-03-31 | 2010-09-30 | Fujifilm Corporation | Biopsy apparatus and biopsy method |
| US7826588B2 (en) * | 2008-03-04 | 2010-11-02 | Siemens Aktiengesellschaft | Device and method to generate digital x-ray images of a sample |
| CN102327122A (en) | 2011-07-08 | 2012-01-25 | 赵福元 | Double X-ray tube correction guide puncture mammary gland X-ray machine |
| US20120022358A1 (en) * | 2010-07-21 | 2012-01-26 | Daniel Fischer | Method and mammography apparatus for image-assisted biopsy extraction |
| US20120022401A1 (en) * | 2010-07-21 | 2012-01-26 | Daniel Fischer | Device for tissue extraction |
| US20120053455A1 (en) | 2010-08-27 | 2012-03-01 | Fujifilm Corporation | Radiographic image capturing system and bioptic method using radiographic image capturing system |
| US20130158388A1 (en) * | 2011-12-19 | 2013-06-20 | General Electric Company | Needle guidance for molecular imaging |
| US9439616B2 (en) * | 2014-01-29 | 2016-09-13 | GE Medical Systems Israel, Ltd. (IL) | Nuclear medicine imaging systems and methods of imaging patient tissue |
-
2013
- 2013-09-09 DE DE201310217961 patent/DE102013217961A1/en active Pending
-
2014
- 2014-08-14 CN CN201410398556.0A patent/CN104414673B/en active Active
- 2014-09-09 US US14/480,872 patent/US9750484B2/en active Active
Patent Citations (15)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4821727A (en) | 1986-10-30 | 1989-04-18 | Elscint Ltd. | Mammographic biopsy needle holder system |
| US5078142A (en) | 1989-11-21 | 1992-01-07 | Fischer Imaging Corporation | Precision mammographic needle biopsy system |
| US20040114714A1 (en) * | 2002-11-29 | 2004-06-17 | Minyard Thomas J. | Distributed architecture for mammographic image acquisition and processing |
| US20090003519A1 (en) * | 2004-11-26 | 2009-01-01 | Kenneth Defreitas | Integrated Multi-Mode Mammography/Tomosynthesis X-Ray System And Method |
| US20100054402A1 (en) * | 2007-12-20 | 2010-03-04 | Daniel Fischer | Method for positioning the breast for a biopsy in a mammography device, and mammography device to implement the method |
| US20090171244A1 (en) * | 2007-12-21 | 2009-07-02 | Koning Corporation | Methods and apparatus of cone beam ct imaging and image-guided procedures |
| US7826588B2 (en) * | 2008-03-04 | 2010-11-02 | Siemens Aktiengesellschaft | Device and method to generate digital x-ray images of a sample |
| US20100016713A1 (en) | 2008-07-16 | 2010-01-21 | Dilon Technologies, Inc. | Fiducial marker and method for gamma guided stereotactic localization |
| US20100249648A1 (en) | 2009-03-31 | 2010-09-30 | Fujifilm Corporation | Biopsy apparatus and biopsy method |
| US20120022358A1 (en) * | 2010-07-21 | 2012-01-26 | Daniel Fischer | Method and mammography apparatus for image-assisted biopsy extraction |
| US20120022401A1 (en) * | 2010-07-21 | 2012-01-26 | Daniel Fischer | Device for tissue extraction |
| US20120053455A1 (en) | 2010-08-27 | 2012-03-01 | Fujifilm Corporation | Radiographic image capturing system and bioptic method using radiographic image capturing system |
| CN102327122A (en) | 2011-07-08 | 2012-01-25 | 赵福元 | Double X-ray tube correction guide puncture mammary gland X-ray machine |
| US20130158388A1 (en) * | 2011-12-19 | 2013-06-20 | General Electric Company | Needle guidance for molecular imaging |
| US9439616B2 (en) * | 2014-01-29 | 2016-09-13 | GE Medical Systems Israel, Ltd. (IL) | Nuclear medicine imaging systems and methods of imaging patient tissue |
Cited By (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US12364443B2 (en) | 2016-11-04 | 2025-07-22 | Hologic, Inc. | Specimen radiography system comprising a cabinet and a specimen drawer positionable by a controller in the cabinet |
| US12514523B2 (en) | 2017-09-11 | 2026-01-06 | Faxitron Bioptics, Llc | Imaging system with adaptive object magnification |
| US12396693B2 (en) | 2020-09-16 | 2025-08-26 | Hologic, Inc. | Systems and methods for confirming tissue specimens removed using contrast-enhanced x-ray imaging |
| US20220265229A1 (en) * | 2021-02-24 | 2022-08-25 | GE Precision Healthcare LLC | System and method for specimen imaging using an existing mamography imaging system |
| US11692951B2 (en) * | 2021-02-24 | 2023-07-04 | GE Precision Healthcare LLC | System and method for specimen imaging using an existing mammography imaging system |
Also Published As
| Publication number | Publication date |
|---|---|
| US20150073298A1 (en) | 2015-03-12 |
| DE102013217961A1 (en) | 2015-03-12 |
| CN104414673A (en) | 2015-03-18 |
| CN104414673B (en) | 2017-04-12 |
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